{"id":1115,"date":"2021-11-19T14:53:16","date_gmt":"2021-11-19T14:53:16","guid":{"rendered":"https:\/\/dimas-demo.motusminds.com\/information-form\/"},"modified":"2021-12-01T20:17:27","modified_gmt":"2021-12-01T20:17:27","slug":"information-form","status":"publish","type":"page","link":"https:\/\/dimas.motusminds.com\/en\/information-form\/","title":{"rendered":"Information Form"},"content":{"rendered":"<div class=\"frm_forms  with_frm_style frm_style_formidable-style\" id=\"frm_form_5_container\" data-token=\"0f75a0cfc5a8000e337bab53870e1acd\">\n<form enctype=\"multipart\/form-data\" method=\"post\" class=\"frm-show-form  frm_pro_form \" id=\"form_informatieformulier\"  data-token=\"0f75a0cfc5a8000e337bab53870e1acd\">\n<div class=\"frm_form_fields \">\n<fieldset>\n<legend class=\"frm_screen_reader\">Information Form<\/legend>\r\n\r\n<div class=\"frm_fields_container\">\n<input type=\"hidden\" name=\"frm_action\" value=\"create\" \/>\n<input type=\"hidden\" name=\"form_id\" value=\"5\" \/>\n<input type=\"hidden\" name=\"frm_hide_fields_5\" id=\"frm_hide_fields_5\" value=\"\" \/>\n<input type=\"hidden\" name=\"form_key\" value=\"informatieformulier\" \/>\n<input type=\"hidden\" name=\"item_meta[0]\" value=\"\" \/>\n<input type=\"hidden\" id=\"frm_submit_entry_5\" name=\"frm_submit_entry_5\" value=\"14e2c5a729\" \/><input type=\"hidden\" name=\"_wp_http_referer\" value=\"\/en\/wp-json\/wp\/v2\/pages\/1115\" \/><div id=\"frm_field_59_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container vertical_radio\">\r\n    <div  id=\"field_ghn2k_label\" class=\"frm_primary_label\">Do you have a CRV number?\r\n        <span class=\"frm_required\" aria-hidden=\"true\">*<\/span>\r\n    <\/div>\r\n    <div class=\"frm_opt_container\" aria-labelledby=\"field_ghn2k_label\" role=\"group\">\t\t<div class=\"frm_radio\" id=\"frm_radio_59-0\"><label for=\"field_ghn2k-0\">\t\t<input type=\"radio\" name=\"item_meta[59]\" id=\"field_ghn2k-0\" value=\"Ja\"\n\t\t   data-reqmsg=\"This field cannot be empty.\" aria-required=\"true\" data-invmsg=\"Heeft u een CRV nummer? is invalid\" aria-invalid=\"false\"  \/> Yes<\/label><\/div>\n\t\t<div class=\"frm_radio\" id=\"frm_radio_59-1\"><label for=\"field_ghn2k-1\">\t\t<input type=\"radio\" name=\"item_meta[59]\" id=\"field_ghn2k-1\" value=\"Nee\"\n\t\t   data-reqmsg=\"This field cannot be empty.\" aria-required=\"true\" data-invmsg=\"Heeft u een CRV nummer? is invalid\" aria-invalid=\"false\"  \/> No<\/label><\/div>\n<\/div>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_60_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container frm6 frm_first\">\r\n    <label for=\"field_jl05z\" id=\"field_jl05z_label\" class=\"frm_primary_label\">CRV number\r\n        <span class=\"frm_required\" aria-hidden=\"true\">*<\/span>\r\n    <\/label>\r\n    <input type=\"number\" id=\"field_jl05z\" name=\"item_meta[60]\" value=\"\"  data-reqmsg=\"This field cannot be empty.\" aria-required=\"true\" data-invmsg=\"Number is invalid\" aria-invalid=\"false\"   min=\"0\" max=\"9999999\" step=\"any\"\/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_61_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container frm6\">\r\n    <label for=\"field_d4edw\" id=\"field_d4edw_label\" class=\"frm_primary_label\">Number\r\n        <span class=\"frm_required\" aria-hidden=\"true\">*<\/span>\r\n    <\/label>\r\n    <div class=\"frm_input_group frm_with_box frm_with_pre\"><span class=\"frm_inline_box\">-<\/span><input type=\"number\" id=\"field_d4edw\" name=\"item_meta[61]\" value=\"\"  data-reqmsg=\"This field cannot be empty.\" aria-required=\"true\" data-invmsg=\"Number is invalid\" aria-invalid=\"false\"   min=\"0\" max=\"9999999\" step=\"any\"\/><\/div>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_62_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container\">\r\n    <div  id=\"field_ktv3a_label\" class=\"frm_primary_label\">First and last name\r\n        <span class=\"frm_required\" aria-hidden=\"true\">*<\/span>\r\n    <\/div>\r\n    <fieldset aria-labelledby=\"field_ktv3a_label\">\n\t<legend class=\"frm_screen_reader frm_hidden\">\n\t\tFirst and last name\t<\/legend>\n\n\t<div  class=\"frm_combo_inputs_container\" id=\"frm_combo_inputs_container_62\" data-name-layout=\"first_last\">\n\t\t\t\t\t<div\n\t\t\t\tid=\"frm_field_62-first_container\"\n\t\t\t\tclass=\"frm_form_field form-field frm_form_subfield-first  frm6\"\n\t\t\t\tdata-sub-field-name=\"first\"\n\t\t\t>\n\t\t\t\t<label for=\"field_ktv3a_first\" class=\"frm_screen_reader frm_hidden\">\n\t\t\t\t\tFirst name\t\t\t\t<\/label>\n\n\t\t\t\t\t\t\t\t\t\t<input\n\t\t\t\t\t\t\ttype=\"text\"\n\t\t\t\t\t\t\tid=\"field_ktv3a_first\"\n\t\t\t\t\t\t\tvalue=\"\"\n\t\t\t\t\t\t\tname=\"item_meta[62][first]\"  data-reqmsg=\"This field cannot be blank.\" aria-required=\"true\" data-invmsg=\"Voor- en achternaam is invalid\" aria-invalid=\"false\"  \t\t\t\t\t\t\/>\n\t\t\t\t\t\t<div class=\"frm_description\" id=\"frm_field_62_first_desc\">First name<\/div>\t\t\t<\/div>\n\t\t\t\t\t<div\n\t\t\t\tid=\"frm_field_62-last_container\"\n\t\t\t\tclass=\"frm_form_field form-field frm_form_subfield-last  frm6\"\n\t\t\t\tdata-sub-field-name=\"last\"\n\t\t\t>\n\t\t\t\t<label for=\"field_ktv3a_last\" class=\"frm_screen_reader frm_hidden\">\n\t\t\t\t\tLast name\t\t\t\t<\/label>\n\n\t\t\t\t\t\t\t\t\t\t<input\n\t\t\t\t\t\t\ttype=\"text\"\n\t\t\t\t\t\t\tid=\"field_ktv3a_last\"\n\t\t\t\t\t\t\tvalue=\"\"\n\t\t\t\t\t\t\tname=\"item_meta[62][last]\"  data-reqmsg=\"This field cannot be blank.\" aria-required=\"true\" data-invmsg=\"Voor- en achternaam is invalid\" aria-invalid=\"false\"  \t\t\t\t\t\t\/>\n\t\t\t\t\t\t<div class=\"frm_description\" id=\"frm_field_62_last_desc\">Last name<\/div>\t\t\t<\/div>\n\t\t\t<\/div>\n<\/fieldset>\n\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_63_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container vertical_radio\">\r\n    <div  id=\"field_9fjry_label\" class=\"frm_primary_label\">Gender\r\n        <span class=\"frm_required\" aria-hidden=\"true\">*<\/span>\r\n    <\/div>\r\n    <div class=\"frm_opt_container\" aria-labelledby=\"field_9fjry_label\" role=\"group\">\t\t<div class=\"frm_radio\" id=\"frm_radio_63-0\"><label for=\"field_9fjry-0\">\t\t<input type=\"radio\" name=\"item_meta[63]\" id=\"field_9fjry-0\" value=\"Man\"\n\t\t   data-reqmsg=\"This field cannot be empty.\" aria-required=\"true\" data-invmsg=\"Geslacht is invalid\" aria-invalid=\"false\"  \/> Male<\/label><\/div>\n\t\t<div class=\"frm_radio\" id=\"frm_radio_63-1\"><label for=\"field_9fjry-1\">\t\t<input type=\"radio\" name=\"item_meta[63]\" id=\"field_9fjry-1\" value=\"Vrouw\"\n\t\t   data-reqmsg=\"This field cannot be empty.\" aria-required=\"true\" data-invmsg=\"Geslacht is invalid\" aria-invalid=\"false\"  \/> Female<\/label><\/div>\n<\/div>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_64_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container frm6 frm_first\">\r\n    <label for=\"field_c8dzm\" id=\"field_c8dzm_label\" class=\"frm_primary_label\">Date of birth\r\n        <span class=\"frm_required\" aria-hidden=\"true\">*<\/span>\r\n    <\/label>\r\n    <input type=\"text\" id=\"field_c8dzm\" name=\"item_meta[64]\" value=\"\"  maxlength=\"10\" data-reqmsg=\"This field cannot be empty.\" aria-required=\"true\" data-invmsg=\"Date is invalid\" class=\"frm_date\" aria-invalid=\"false\"  \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_65_container\" class=\"frm_form_field form-field  frm_top_container frm6\">\r\n    <label for=\"field_fmvqd\" id=\"field_fmvqd_label\" class=\"frm_primary_label\">Identification number\r\n        <span class=\"frm_required\" aria-hidden=\"true\"><\/span>\r\n    <\/label>\r\n    <input type=\"text\" id=\"field_fmvqd\" name=\"item_meta[65]\" value=\"\"  data-invmsg=\"Text is invalid\" aria-invalid=\"false\"  \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_66_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container frm_first frm_half\">\r\n    <label for=\"field_slz9r\" id=\"field_slz9r_label\" class=\"frm_primary_label\">Email address\r\n        <span class=\"frm_required\" aria-hidden=\"true\">*<\/span>\r\n    <\/label>\r\n    <input type=\"email\" id=\"field_slz9r\" name=\"item_meta[66]\" value=\"\"  data-reqmsg=\"This field cannot be blank.\" aria-required=\"true\" data-invmsg=\"  Email address is invalid\" aria-invalid=\"false\"  \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_conf_66_container\" class=\"frm_form_field frm_hidden_container frm_conf_field form-field  frm_required_field frm_top_container  frm6\">\r\n    <label for=\"field_conf_slz9r\" id=\"field_conf_slz9r_label\" class=\"frm_conf_label frm_primary_label\">Confirm Email address\r\n        <span class=\"frm_required\" aria-hidden=\"true\">*<\/span>\r\n    <\/label>\r\n    <input type=\"email\" id=\"field_conf_slz9r\" name=\"item_meta[conf_66]\" value=\"\"  data-reqmsg=\"This field cannot be blank.\" aria-required=\"true\" data-confmsg=\"The entered values \u200b\u200bdo not match\" data-invmsg=\"  Email address is invalid\" aria-invalid=\"false\"   aria-describedby=\"frm_desc_field_conf_slz9r\"\/>\r\n    <div class=\"frm_description\" id=\"frm_desc_field_conf_slz9r\">Retype your email here<\/div>\r\n    \r\n<\/div>\n<div id=\"frm_field_67_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container\">\r\n    <label for=\"field_empwa\" id=\"field_empwa_label\" class=\"frm_primary_label\">Telephone\r\n        <span class=\"frm_required\" aria-hidden=\"true\">*<\/span>\r\n    <\/label>\r\n    <div class=\"frm_input_group frm_with_box frm_with_pre\"><span class=\"frm_inline_box\">+297<\/span><input type=\"tel\" id=\"field_empwa\" name=\"item_meta[67]\" value=\"\"  data-frmmask=\"999 9999\" data-reqmsg=\"This field cannot be empty.\" aria-required=\"true\" data-invmsg=\"Phone is invalid\" aria-invalid=\"false\" pattern=\"\\d\\d\\d \\d\\d\\d\\d$\"  \/><\/div>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_68_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container\">\r\n    <label for=\"field_78eso\" id=\"field_78eso_label\" class=\"frm_primary_label\">Address\r\n        <span class=\"frm_required\" aria-hidden=\"true\">*<\/span>\r\n    <\/label>\r\n    <input type=\"text\" id=\"field_78eso\" name=\"item_meta[68]\" value=\"\"  data-reqmsg=\"This field cannot be blank.\" aria-required=\"true\" data-invmsg=\"Text is invalid\" aria-invalid=\"false\"  \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_69_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container\">\r\n    <label for=\"field_9aebt\" id=\"field_9aebt_label\" class=\"frm_primary_label\">City\r\n        <span class=\"frm_required\" aria-hidden=\"true\">*<\/span>\r\n    <\/label>\r\n    <input type=\"text\" id=\"field_9aebt\" name=\"item_meta[69]\" value=\"\"  data-reqmsg=\"This field cannot be empty.\" aria-required=\"true\" data-invmsg=\"Text is invalid\" aria-invalid=\"false\"  \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_70_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container\">\r\n    <label for=\"field_gvulw\" id=\"field_gvulw_label\" class=\"frm_primary_label\">Enter your question below\r\n        <span class=\"frm_required\" aria-hidden=\"true\">*<\/span>\r\n    <\/label>\r\n    <textarea name=\"item_meta[70]\" id=\"field_gvulw\" rows=\"5\"  data-reqmsg=\"This field cannot be blank.\" aria-required=\"true\" data-invmsg=\"Vul hieronder uw vraag in is invalid\" aria-invalid=\"false\"  ><\/textarea>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_71_container\" class=\"frm_form_field form-field  frm_top_container\">\r\n    <label for=\"field_gjww9\" id=\"field_gjww9_label\" class=\"frm_primary_label\">File upload\r\n        <span class=\"frm_required\" aria-hidden=\"true\"><\/span>\r\n    <\/label>\r\n    <input type=\"hidden\" name=\"item_meta[71]\"  value=\"\" data-frmfile=\"71\" \/>\n\n<div class=\"frm_dropzone frm_single_upload frm_clearfix\" id=\"file71_dropzone\" role=\"group\" >\n\t<div class=\"fallback\">\n\t\t<input type=\"file\" name=\"file71\" id=\"field_gjww9\"\n\t\t\t data-invmsg=\"File upload is invalid\" aria-invalid=\"false\"  \t\t\t\/>\n\t\t\t\t<div class=\"frm_clearfix \"><\/div>\n\t<\/div>\n\t<div class=\"dz-message needsclick\">\n\t\t<span class=\"frm_icon_font frm_upload_icon\"><\/span>\n\t\t<span class=\"frm_upload_text\"><button type=\"button\">Drag your files here, or click here to select them<\/button><\/span>\n\t\t<span class=\"frm_compact_text\"><button type=\"button\">Choose file<\/button><\/span>\n\t\t<div class=\"frm_small_text\">\n\t\t\tMaximum upload size: 516MB\t\t<\/div>\n\t<\/div>\n<\/div>\n\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_72_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container\">\r\n    <label for=\"field_42mqt\" id=\"field_42mqt_label\" class=\"frm_primary_label\">I agree to the Terms and Conditions\r\n        <span class=\"frm_required\" aria-hidden=\"true\">*<\/span>\r\n    <\/label>\r\n    <div><label class=\"frm_switch_block\">\r\n<input type=\"checkbox\" name=\"item_meta[72][]\" id=\"field_42mqt\" value=\"Yes\"  data-reqmsg=\"This field cannot be empty.\" aria-required=\"true\" data-invmsg=\"Ik ga akkoord met de Algemene Voorwaarden is invalid\" aria-invalid=\"false\"  \/>\r\n<span class=\"frm_switch\" tabindex=\"0\">\r\n<span class=\"frm_slider\"><\/span>\r\n<\/span><\/label><\/div>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_74_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container\">\r\n    <label for=\"field_o6vhl\" id=\"field_o6vhl_label\" class=\"frm_primary_label\">Signature\r\n        <span class=\"frm_required\" aria-hidden=\"true\">*<\/span>\r\n    <\/label>\r\n    <div class=\"sigPad\" id=\"sigPad74\" style=\"max-width:400px;\">\n\t<div class=\"sig sigWrapper\" style=\"height:150px;border-color:#BFC3C8;--bg-color:#ffffff;--active:#579AF6;--inactive:#eaeaea;--active-text:#ffffff;--inactive-text:#3f4b5b;--button-margin:22px;--button-size:20px;--button-padding:10px;--button-side-margin:22px;--icon:20px\">\n\t\t\t\t<ul class=\"sigNav\">\n\t\t\t<li class=\"drawIt\"><a href=\"#\" class=\"current\" title=\"Draw it\" aria-label=\"Draw it\"><i class=\"frm_icon_font frm_signature_icon\" aria-hidden><\/i><\/a><\/li>\n\t\t\t<li class=\"typeIt\"><a href=\"#\" class=\"\" title=\"Type it\" aria-label=\"Type it\"><i class=\"frm_icon_font frm_keyboard_icon\" aria-hidden><\/i><\/a><\/li>\n\t\t<\/ul>\n\t\t\t\t<div class=\"typed\">\n\t\t\t<input type=\"text\" name=\"item_meta[74][typed]\" class=\"name\" id=\"field_o6vhl\" autocomplete=\"off\" value=\"\"  style=\"width:400px\" maxlength=\"150\" data-reqmsg=\"This field cannot be empty.\" aria-required=\"true\" class=\"auto_width\" aria-invalid=\"false\"   \/>\n\t\t<\/div>\n\t\t<canvas class=\"pad\" width=\"396\" height=\"150\"><\/canvas>\n\t\t<div class=\"clearButton\"><a href=\"#clear\">Clear<\/a><\/div>\n\t\t<input type=\"hidden\" name=\"item_meta[74][output]\" class=\"output\" value=\"\" \/>\n\t<\/div>\n<\/div>\n\r\n    \r\n    \r\n<\/div>\n<input type=\"hidden\" name=\"item_meta[75]\" id=\"field_lez6z\" value=\"en\"  data-frmval=\"en\" data-invmsg=\"Invoer taal is ongeldig\"   \/>\n\t<input type=\"hidden\" name=\"item_key\" value=\"\" \/>\n\t\t\t\t<div class=\"frm_verify\" aria-hidden=\"true\">\n\t\t\t\t<label for=\"frm_email_5\">\n\t\t\t\t\tIf you are human, leave this field blank.\t\t\t\t<\/label>\n\t\t\t\t<input type=\"text\" class=\"frm_verify\" id=\"frm_email_5\" name=\"frm_verify\" value=\"\"  \/>\n\t\t\t<\/div>\n\t\t<input name=\"frm_state\" type=\"hidden\" value=\"dZArhQTeM35\/rAvN5ortYjHLBuOg8bBaHfI4EKeZ57g=\" \/><div class=\"frm_submit\">\r\n\r\n<button class=\"frm_button_submit frm_final_submit\" type=\"submit\"   formnovalidate=\"formnovalidate\">Send<\/button>\r\n\r\n<\/div><\/div>\n<\/fieldset>\n<\/div>\n<\/form>\n<\/div>\n\n\n\n\n<p><\/p>\n","protected":false},"excerpt":{"rendered":"","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":[],"_links":{"self":[{"href":"https:\/\/dimas.motusminds.com\/en\/wp-json\/wp\/v2\/pages\/1115"}],"collection":[{"href":"https:\/\/dimas.motusminds.com\/en\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/dimas.motusminds.com\/en\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/dimas.motusminds.com\/en\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/dimas.motusminds.com\/en\/wp-json\/wp\/v2\/comments?post=1115"}],"version-history":[{"count":4,"href":"https:\/\/dimas.motusminds.com\/en\/wp-json\/wp\/v2\/pages\/1115\/revisions"}],"predecessor-version":[{"id":1175,"href":"https:\/\/dimas.motusminds.com\/en\/wp-json\/wp\/v2\/pages\/1115\/revisions\/1175"}],"wp:attachment":[{"href":"https:\/\/dimas.motusminds.com\/en\/wp-json\/wp\/v2\/media?parent=1115"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}